Rx bin 020115. The following is a summary of our new requirements.

Rx bin 020115 . 1Ø1-A1 BIN Number 012114, 610239 610468, 012147 020099, 020388 610502, 004336 610591, 020115 M 1Ø2-A2 Version/Release Number DØ M NCPDP vD. The Pharmacy Help Desk numbers are provided below: CVS Caremark® System BIN Help Desk Number Legacy ADV *012114 1-8ØØ-364-6331 Legacy PCS *012114 1-8ØØ-345-5413 FEP 610239 1-8ØØ-364-6331 Legacy CRK *012114 1-8ØØ-421-2342 Legacy PHC 610468 1-8ØØ-777-1Ø23 Aetna 610502 1-8ØØ-238-6279 CarelonRx 020099 020115 020123 020396 020388 Rx BIN: 020115 Rx PCN: IS Rx GROUP: WM2A Issuer ID: 80840 Member ID: Amerivantage Dual Secure CMS H2593-PBP: 033-000 Most dual eligible members pay $0 for plan covered medical services. Pharmacy Help Desk Information The Pharmacy Help Desk number is provided below: System BIN Help Desk Number Legacy ADV *004336 012114 013089 1-8ØØ-364-6331 CVS Caremark® 610591 As communicated by plan or refer to member ID card. The items highlighted in the payer sheet illustrate the updated processing rules. New pharmacy coverage specifications: Pharmacy Claim Submission Information To submit a pharmacy claim for HealthSun Members starting January 1,2020, use the following information: ID numbers will remain the same Claim Submission Information BIN: 020115 PCN: IS Group: RX8446 To prevent point of service disruption, the RxGroup must be submitted on all claims and reversals. Provider: Dual Member Cost share should be verified and (HMO D-SNP) Amerigroup Texas, Inc. The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2024 Medicare Part D plan sponsor. Jan 26, 2025 · The chart below is the fourth page of the 2025 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H4699 through H6079. Ø 1Ø3-A3 Transaction Code B1 M Billing Transaction 1Ø4-A4 Processor Control Number M Use value as printed on ID card, as communicated by CVS Caremark® or as stated in Appendix A Jan 26, 2025 · The chart below is the second page of the 2025 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H1889 through H3329. Click here for the first page (E3014 - H1862) , second page (H1889 - H3329) , third page (H3330 - H4694) , fifth page (H6080 - H8019) , sixth page (H8026 - H9986) , and seventh page (H9998 Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response (IVR) system or the Pharmacy Help Desk. The Transaction Header Segment is mandatory. If there is a Part D BIN/PCN/Group missing that you would like us to add, please shoot us an email at support@amplicare. Pharmacies are required to submit upper case values on B1/B2 transactions. 1-8ØØ-842-7331. (24 hours a day) The Pharmacy Help Desk numbers are provided below: CVS Caremark® System BIN Help Desk Number Legacy ADV *013089 1-8ØØ-364-6331 Legacy PCS *013089 1-8ØØ-345-5413 FEP 610239 1-8ØØ-364-6331 Legacy CRK *013089 1-8ØØ-421-2342 Aetna 610502 1-8ØØ-238-6279 CarelonRx 020099 020115 020123 Mar 7, 2022 · The chart below is the first page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E0654 through H1997. Jan 26, 2025 · The chart below is the fifth page of the 2025 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H6080 through H8019. The table also lists values as defined under Version D. com Rx ID: $0 $0 $25 $0 X44104774700001 Members: Present this ID card to your healthcare provider before you receive services Pharmacy Help Desk. MY LOCAL PHARMACY IS HAVING TROUBLE FILLING MY PRESCRIPTION. Aetna Better Health 610591 1-877-874-3317 Partners 025052 1-8ØØ-364-6331 CarelonRx 020107 020396 Jan 26, 2025 · The chart below is the seventh page of the 2025 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H9998 through X0001. Click here for the second page (H2029 - H3499) , third page (H3517 - H5141) , fourth page (H5163 - H6832) , fifth page (H6846 - H8998) , and sixth page (H9001 - X0001) . (24 hours a day) The Pharmacy Help Desk numbers are provided below: CVS Caremark® System BIN Help Desk Number Legacy ADV *004336 1-8ØØ-364-6331 Legacy PCS *610415 1-8ØØ-345-5413 17. Click here for the second page (H2001 - H3563) , third page (H3572 - H5325) , fourth page (H5337 - H7322) , fifth page (H7323 - H9686) and sixth page (H9699 - S9701) . Rx ID: billed to member's Medicaid. Click here for the first page (E3014 - H1862) , second page (H1889 - H3329) , third page (H3330 - H4694) , fourth page (H4699 - H6079) , fifth page (H6080 - H8019) , and sixth page (H8026 . Click here for the first page (E3014 - H1862) , third page (H3330 - H4694) , fourth page (H4699 - H6079) , fifth page (H6080 - H8019) , sixth page (H8026 - H9986) , and seventh page (H9998 Jan 10, 2024 · The chart below is the first page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E3014 through H2001. The segment summaries included below list the mandatory data fields. To prevent point of service disruption, the RxGroup must be submitted on all claims and reversals. com! Jan 10, 2024 · UPDATE: The 2025 BIN and PCN numbers are online and include the Medicare Prescription Payment Plan (M3P or MPPP) numbers. WHO CAN HELP? If you don’t have your 2024 Anthem medical ID card with you at the pharmacy, please provide the following prescription drug coverage information to the pharmacist: BIN: 020099 PCN: WG Group WLHA If that does not resolve the issue, ask the Dec 24, 2022 · The chart below is the fourth page of the 2023 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H5372 through H7220. The following is a summary of our new requirements. X630694700091 Members: Present Rx BIN: 020115 Rx PCN: IS Rx GROUP: WM2A Issuer ID: 80840 Member ID Simply Care (HMO I-SNP) CMS H5471-PBP: 067-000 Office Visit Copay: Specialist Visit Copay: Emergency Room Copay: Preventive Copay: livehealthonline. Click here for the first page (E0654 - H2134), second page (H2161 - H3655), third page (H3660 - H5355), fifth page (H7245 - H9649), and sixth page (H9662 - S9854). ogkz kfm otagmy vgs rlg gowpnmg mdozg sgp sxnfj dkunh crsxqm aifro ossyg pspjj phbvb